Hornby P, Stokes E, Russell W, Cochrane D, Morris J
Centre for Health Planning and Management, Keele University, Staffordshire, ST5 5BG.
Br Dent J. 2006 May 27;200(10):575-9; discussion 567; quiz 588. doi: 10.1038/sj.bdj.4813588.
To explore opportunities for workforce development in NHS general dental services (GDS) in Shropshire and Staffordshire.
Secondary data sources were supplemented with a primary survey of GDS practices to build up a profile of the existing GDS workforce and its current capacity. Attitudes and perceptions on current workforce issues and potential solutions were gathered using a second survey and explored further through other qualitative techniques including interviews and a focus group discussion.
The results confirm that there is a shortage of dentists in the area, fuelled by multiple factors including the move from NHS to private work, the decision to retire early and a growing disillusionment with NHS policies and remuneration. Modelling of alternate approaches to future dental clinical needs highlighted the opportunity for meeting the consequent workforce demands through increased involvement of hygienists and therapists.
This study has provided local evidence to inform dental service development in Shropshire and Staffordshire. It has provided a starting point for exploring new ways of working and will contribute towards a more effective implementation of new and evolving service strategies.
探索什罗普郡和斯塔福德郡国民保健服务体系(NHS)普通牙科服务(GDS)中劳动力发展的机会。
通过对GDS诊所的初步调查补充二级数据源,以建立现有GDS劳动力及其当前能力的概况。通过第二次调查收集对当前劳动力问题和潜在解决方案的态度和看法,并通过包括访谈和焦点小组讨论在内的其他定性技术进一步探讨。
结果证实该地区存在牙医短缺的情况,多种因素导致了这一现象,包括从NHS转向私人执业、提前退休的决定以及对NHS政策和薪酬日益增长的不满。对未来牙科临床需求替代方法的建模突出了通过增加口腔保健员和治疗师的参与来满足随之而来的劳动力需求的机会。
本研究提供了当地证据,为什罗普郡和斯塔福德郡的牙科服务发展提供参考。它为探索新的工作方式提供了一个起点,并将有助于更有效地实施新的和不断发展的服务战略。